#657 of Life and Death (3)

The time is tight and the task is heavy. Chen Cang dares to delay every minute and every second!

After learning that the patient was pregnant, Chen Cang hesitated slightly and frowned!

This is really not a simple thing!

Pregnancy complicated with heart disease is a very serious complication in itself, and it is also one of the important causes of death of pregnant women and perinatal children!

The proportion accounted for the first non-obstetric causes of maternal deaths.

Similarly, due to hemodynamic changes, blood hypercoagulability, metabolic changes, etc. during pregnancy, the burden on the heart of pregnant women increases, which can worsen the original heart disease or cause complications, such as cardiac decompensation, acute lung disease Edema, heart failure.

But at this time, Huihui herself may have serious heart damage, and with the burden of pregnancy, the difficulty of surgery, the degree of risk, and the degree of prognosis all increase proportionally!

Li Weiyan suddenly said, "How about we establish cardiopulmonary bypass first and wait for the director to arrive?"

Chen Cang didn't speak, he just raised his eyes and glanced at Li Weiyan, and he was so ashamed that he didn't dare to say a word.

He also knew that what he said was wrong!

But he has no way to do such an operation, he can only maintain the patient's vital signs and wait for the arrival of the expert director as much as possible!

But in Chen Cang's eyes, there are too many meanings!

After the heart ruptures, it is not only the bleeding that is the most terrifying!

The most terrifying thing is that after the heart ruptures, there will be large areas of myocardial cell necrosis around it!

The heart is necrotic, can it still be used after being rescued?

So, at this moment, for every extra minute of delay, the probability and risk of death of the patient, including the child, increases proportionally!

Or, the risk of the heart will be greatly increased!

Chen Cang glanced at the anesthesiologist and said, "Intubation, ready for anesthesia!"

The anesthesiologist nodded solemnly!

Huihui was not in shock at this time, just because she was frightened, she was in a coma.

Just as he was preparing, Huihui suddenly woke up.

Tears filled his eyes. After seeing Chen Cang, it was like seeing a life-saving straw.

"Doctor! I beg you..."

"Save the child!"

"Please, save my child..."

"I don't want to die, my child is only five months old, I can't die!"

"I'm fine if I die, but my child..."

At this time, Huihui seemed to have forgotten the pain caused by her own injury.

The most painful thing for her is the unborn child!

As a first-time mother, she has too many expectations, too many surprises, too many longings, and too many worries!

But at this moment, this knife, pierced all her fantasies about the future.

Feeling the severe pain, she was not afraid! It doesn't even feel like the pain is coming from there!

Because the most terrible thing is not death.

Rather, the unborn child had to die with him.

This is the greatest fear and grief!

When you are sad, blood rushes out.

Chen Cang reached out and held her hand, looked at Huihui, and said, "Trust me!"

Feel the faith and firmness in these eyes, feel the trust in the depths of your soul, and also feel the warmth of life in your hands!

Huihui suddenly relaxed a lot and became more at ease.

At this time, Chen Cang's soul lived in a 99-level big boss. He knew that at this moment, the transmission of contact, body temperature, and power was the best method!

All, he took Huihui's hand.

This is a kind of experience, not a skill, but a skill, but the essence of many people in the world.

Body temperature makes people feel comfortable, touch makes people less vigilant, and strength makes people feel confident!

When Chen Cang held her hand, it was actually the most powerful treatment and the most effective consolation.

There is a saying in English: give me five, which is actually the same thing.

Chen Cang turned to look at the anesthesiologist and said:

"I'll do local anesthesia first, you'll see the situation later, prepare for endotracheal intubation, general anesthesia! Is there any problem?" Chen Cangduo asked!

The anesthesiologist nodded, he knew what Chen Cang meant!

Although I am curious about who this young man is, I am even more curious about why I feel a kind of fear from him?

But at this moment, the most important thing is not the other, but the rescue!

Chen Cang's meaning is very clear: At this time, Huihui is often in a state of low cardiac output, and her tolerance to anesthetics is extremely poor!

Cardiac arrest can easily occur during induction.

So at this time, Chen Cang had better open his chest under local anesthesia first, and then complete general anesthesia when conditions permit!

Chen Cang took a deep breath, and after some preparations, he turned around, got dressed, and picked up the scalpel.

Glancing at the anesthesiologist: "Give me the anesthesia."

The other party nodded and handed the prepared local anesthetic of lidocaine to Chen Cang.

Chen Cang looked at the wound on Lele's chest. After thinking about it, he started injecting anesthesia. After waiting for the anesthetic to absorb, he made an incision in the middle of the chest!

After the chest was opened, Chen Cang glanced at Li Weiyan: "Prepare autologous blood!"

Li Weiyan was stunned for a moment, and instantly realized what Chen Cang meant!

At this time, if there is not enough blood, it is best to use autologous blood.

After a good opening, the 4 chambers of the heart and the ascending aorta are momentarily exposed.

Chen Cang hesitated slightly and cut his heart.

He said to Tang Lingling, "Open your sternum!"

Tang Lingling nodded, fully exposing the surgical field of vision.

At this time, Chen Cang cut the pericardium and immediately saw the patient's wound!

【Ding! King-level boss: The heart is ruptured, the heart of a pregnant woman suddenly ruptures, accompanied by irregular wounds, and the ventricular septum is obviously ruptured... The wound is serious, please repair it immediately! 】

Chen Cang narrowed his eyes and got ready for the surgery!

For the hemostatic suture operation of the heart, the requirements are very high!

It is directly related to the later repair and the recovery of the normal function of the heart.

Moreover, if there is damage to a particular part, even the difficulty increases proportionally.

Just like this time!

How much pressure does the king-level BOSS bring?

Chen Cang couldn't imagine it at all.

This wound has already damaged the coronary blood vessels, which is undoubtedly a heavy blow to the entire heart.

As I said last time, the coronary arteries are actually the channels that provide blood and oxygen supply to the heart.

If there is damage here, this is myocardial ischemic necrosis!

This is much faster than his heart attack!

The preparations for the surgery had been done, and everyone was staring at Chen Cang, because at this moment, everyone lost their backbone.

Even Li Weiyan, Tang Lingling and others can't help it, things have come to this point.

Is there a way back?

And Chen Cang's confidence and aura made everyone around him sigh in admiration.

Maybe he really has a way!

At this moment, all hope is pinned on Chen Cang!